Provider Demographics
NPI:1679621809
Name:ABATE, FRANK S V
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:S
Last Name:ABATE
Suffix:V
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4651 KELL LANE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-4917
Mailing Address - Country:US
Mailing Address - Phone:703-998-5292
Mailing Address - Fax:703-998-5292
Practice Address - Street 1:4651 KELL LANE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-4917
Practice Address - Country:US
Practice Address - Phone:703-998-5292
Practice Address - Fax:703-998-5292
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0481101YM0800X
DCPRC1364101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD100024765001OtherAPS
CA220818OtherMHN
DC67450001OtherCAREFIRST
MD7439105 00Medicaid